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Research Billing Compliance Analyst Ii

Research Billing Compliance Analyst Ii
Company:

Adventhealth



Job Function:

Legal

Details of the offer

All the benefits and perks you need for you and your family:

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that

together

we are even better.

Schedule:

Full Time/Days (8AM-4:30PM)

Location

: Remote

The community you'll be caring for:

Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando

Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America

AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country.

We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you'll contribute:

AdventHealth Research Institute (AHRI) provides corporate level research oversight across all markets to ensure that research is performed in a consistent manner that is in full alignment with all applicable federal, state and local rules and regulations. The Research Billing Compliance Analyst II (RBCA II) is integral to the effectiveness and success of the Research Compliance Program of the AHRI through responding to research compliance related inquiries, conducting research billing compliance reviews and monitoring of research billing processes at the corporate level for research participants for hospital and professional billing system wide. Primary efforts and responsibilities are centered on the prevention, detection and reporting of Medicare Fraud and Abuse. The RCBA II operates independently conducting internal compliance reviews and quality assurance/quality improvement monitoring to assess compliance with federal and state laws, regulations, guidance, and standards, as well as AHRI Policies & Procedures (P&Ps) related to research billing integrity and compliance. The RBCA II records and submits a report of findings, assists in Corrective and Preventative Action Plan (CAPA) development, and follow-up to ensure the study team resolves all findings and completes the CAPA adequately. The RBCA II will prepare and provide any requested and/or required reporting to the AdventHealth Research Council (ARC), Research Oversight Committee (ROC), Corporate Responsibility, and AHRI senior leadership and work collaboratively with Corporate Responsibility to ensure research billing compliance and integrity.

The value you'll bring to the team:

Provides guidance and serves as a resource and Subject Matter Expert (SME) to AHRI research departments and individual research team members regarding issues related to research billing compliance.

Assists in the review, analysis and completion of results of compliance reviews and activities, and assists in the preparation of reports detailing the findings including aggregate information for enterprise and metrics reports.

Guides research departments, research investigators, and study teams in conducting root cause analysis and development of CAPAs resulting from compliance review results and activities.

May assist with patient financial counseling for research patients.

Manages and/or assists with special projects, as assigned.

Qualifications

The expertise and experiences you'll need to succeed

:

EDUCATION AND EXPERIENCE REQUIRED:

Bachelor's degree in healthcare (healthcare finance, medical coding, administration or research related field);

and

five (5) years of work experience in healthcare billing, research billing, medical coding or revenue cycle;

OR

Associate degree and at least seven (7) years applicable work experience in research billing, healthcare billing, medical coding or revenue cycle;

OR

Equivalent work experience of at least nine (9) years applicable work experience in research billing, healthcare billing, medical coding or revenue cycle with the most recent one to two years in research billing.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category:

Research

Organization:

AdventHealth Orlando

Schedule:

Full-time

Shift:

1 - Day

Req ID:

********

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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Source: Grabsjobs_Co

Job Function:

Requirements

Research Billing Compliance Analyst Ii
Company:

Adventhealth



Job Function:

Legal

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